This year, 389 healthcare institutions in the U.S. were attacked with ransomware, which caused network shutdowns, offline ...

To the surprise of many patients, most of the doctors in this network don't accept their insurance plan, lawsuit alleges.

Centene has joined the list of insurers that are suing the Centers for Medicare and Medicaid Services over the 2025 Medicare Advantage Star Ratings. Centene of Missouri and 10 affiliated plans such as ...

CEO Gail Boudreaux says cut points are a large factor driving the decline of plans rated four stars or higher.

The layoffs come on the heels of an earnings call in which the company said it was exploring options after a star ratings hit ...

Humana has sued the Centers for Medicare and Medicaid Services over the results of the 2025 Medicare Advantage and Part D ...

Risk-based contracts became a financial lifeline for a challenging payer mix in southern Oregon, says Chief Executive Chris ...

Medical illustrators need to take complex information and edit out what is not the physician's focus, such as an injury. AI ...

The end-to-end program is meant to help employees more seamlessly access and manage their GLP-1 prescriptions.

The Tukey outlier, guardrails on cut points and the end of Chevron are factors that may influence payer challenges to low ...

Improving the Patient Financial Experience Throughout the Patient Journey While many healthcare providers believe that improving the patient financial experience is a critical step for their ...

Improving the Patient Financial Experience Throughout the Patient Journey While many healthcare providers believe that improving the patient financial experience is a critical step for their ...